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Licensing details for: 39346

Name: AZAULA, NER HERNANDEZ

License Type: Dentist

Primary Status: Expired Primary Status Definition

Secondary Status: Reduced Renewal Fee

Address of Record

20935 VAN OWEN STREET
SUITE 207
CANOGA PARK CA 91303
LOS ANGELES county
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Issuance Date

July 26, 1991

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
4:19:10 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CASTLE DENTAL CENTERS

License/Registration Type: Fictitious Name Permit

License Number: 2218 Primary Status: Cancelled

Address :
DENTAL GROUP OF NER H. AZAULA, DDS,INC.
20935 VAN OWEN STREET, SUITE 207
CANOGA PARK CA 91303
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CASTLE DENTAL CENTERS

License/Registration Type: Fictitious Name Permit

License Number: 2218 Primary Status: Cancelled

Address :
DENTAL GROUP OF NER H. AZAULA, DDS,INC.
20935 VAN OWEN STREET, SUITE 207
CANOGA PARK CA 91303
LOS ANGELES COUNTY

Map

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